Credentialing & Enrollment Services in Massachusetts
CapitalMed Solutions provides expert provider credentialing and enrollment services tailored to healthcare practices across Massachusetts ensuring seamless onboarding, optimized revenue cycles, and minimized claim denials.
Why Massachusetts Providers Trust Our Credentialing & Enrollment Services?
Dedicated Enrollment via MassHealth (Medicaid): Providers enroll with Medicaid using the MassHealth Provider Application and manage status via the Provider Online Service Center (POSC)—ensuring fee-for-service (FFS), Primary Care Clinician (PCC), Ordering/Referring/Prescribing (ORP), and LTSS enrollments are handled efficiently
Application Tracking & Processing with POSC: The POSC enables tracking application status using an Application Tracking Number (ATN), NPI, or Provider ID/Service Location (PID/SL), and has a 30-day processing window for complete applications
Regulatory Compliance with MassHealth Enrollment: Massachusetts mandates that providers—especially those who order, refer, or prescribe—must maintain active enrollment with MassHealth regardless of billing status
Standardized Credentialing for Health Plans via Uniform Applications: The Massachusetts Uniform Credentialing Initiative simplifies application across multiple health plans and hospitals—including BCBSMA, Tufts, Fallon, Health New England, and more—streamlining credentialing with a single uniform form accepted by most participating insurers and systems
Credentialing & Enrollment Services We Offer in Massachusetts
At CapitalMed Solutions, a trusted medical billing service company, we support a wide range of healthcare specialties across Massachusetts—including Boston, Worcester, Springfield, Cambridge, Lowell, Brockton, Quincy, Lynn, New Bedford, and Somerville. Our specialty credentialing and payer enrollment services cover anesthesiology, radiology, cardiology, orthopedics, primary care, pediatrics, and more—helping practices statewide gain network participation efficiently.
Whether requirements are national or Massachusetts-specific, our experts stay current to ensure accurate applications, timely follow-ups, and compliant provider enrollment. As a trusted Medical Billing Services Company in Massachusetts, we deliver customized credentialing solutions for each specialty—reducing delays, preventing denials, and streamlining your revenue cycle.
Our Credentialing & Enrollment Process in Massachusetts
Benefits of Choosing Us for Credentialing Services in Massachusetts
Major Insurances Companies
Insurance Networks We Work With for Credentialing in Massachusetts
At CapitalMed Solutions, we partner with major insurance carriers across Massachusetts to ensure seamless provider credentialing and faster payer enrollment. Our strong relationships with leading payers help healthcare professionals get credentialed efficiently, stay compliant, and serve more patients with confidence.
Ready to streamline credentialing in Massachusetts?
Connect with our credentialing experts today we’ll help manage your MassHealth enrollment (PCC, ORP, LTSS), coordinate uniform credentialing with major plan networks, and ensure your practice remains fully compliant and optimized for billing success.
Working Hours
Monday – Friday 09 AM To 05 PM
Our Location
77 Sugarcreek Blvd Suite 600, Sugar Land, TX 77478